Active NPI
Kerri M Fontaine, CRNA
- Certified Registered Nurse Anesthetist
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA113004
- Practice address
- 300 Main St
Lewiston, ME 04240-7027 - Phone
- (207) 795-0111
- NPI assigned
- Dec 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA113004 | ME | Primary |
Addresses
Primary practice location
300 Main St
Lewiston, ME 04240-7027
Mailing address
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111
Other names 1
- Kerri M Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110602000151 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688850795 | Reassigns benefits to 8 organizations |
| I20260416003620 | NH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688850795 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Maine Medical CenterAnesthesia Care Group PC
Practice addresses (Care Compare)
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111
5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311
88 McGregor St
Suite 303
Manchester, NH 03102-3734
Phone (603) 647-9325
Hospital & facility affiliations
- Exeter Hospital Inc
- Central Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.63 of 100
- Quality
- 77.69
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA113004 | ME | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Hospital | Current | Accepting new patients | |
| Rumford Hospital | Current | Accepting new patients | |
| True North Anesthesia L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Central Maine Medical Center | Current | Accepting new patients | |
| Bridgton Hospital | Current | Accepting new patients | |
| Maine Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients |
Locations
455 Harlow St
Bangor, ME 04401
Phone (207) 992-4032
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
53 Sewall St
Portland, ME 04102
Phone (207) 350-5019
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581
405 Western Ave
South Portland, ME 04106
Phone (207) 272-0707
325A Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 667-9690
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Portland, ME
- NPI 1265296651
ME, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bangor, ME
- NPI 1194176040
ME, Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Lewiston, ME
- NPI 1073651576
-
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1861433765
-
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
- Multi-Specialty Clinic/Center
- Manchester, ME
- NPI 1598411175
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1821392192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407027",
"telephone_number": "207-795-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407027",
"telephone_number": "207-795-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTAINE",
"first_name": "KERRI",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-31",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA113004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "DAVIS",
"middle_name": "M",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.